Tyler Lee, DMD is a
Student In An Organized Health Care Education/training Program based in Mission Viejo, California. Tyler Lee is licensed to practice in * (Not Available) (license number ) and his current practice location is
26302 La Paz Rd Ste 102, Mission Viejo, California. He can be reached at his office (for appointments etc.) via phone at
(949) 203-0076.
NPI number for Tyler Lee is 1477050755 and his current mailing address is 10998 S Maple Forest Way, South Jordan, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477050755.
Healthcare Provider's Profile
| Full Name | Tyler Lee |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 26302 La Paz Rd Ste 102, Mission Viejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477050755
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 04/09/2024
Medical Identifiers
Medical identifiers for Tyler Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477050755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DDS107439 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyler Lee, DMD
10998 S Maple Forest Way,
South Jordan, UT 84095-4120
Ph: (949) 533-4413 | Tyler Lee, DMD
26302 La Paz Rd Ste 102,
Mission Viejo, CA 92691-5327
Ph: (949) 203-0076 |
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